| NPI | 1558902916 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL CHARLES DUNDEE Business Office Manager 337-534-9205 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2019-10-07 |
| Last Update Date | 2019-10-07 |